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Gorman, P.: Information seeking of primary care physicians : conceptual models and empirical studies (1999) 0.01
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Abstract

As medical students, learning to do a Complete History and Physical is one of the first great challenges in the transition from being a classroom student to being a clinical trainee on the hospital wards. The Complete History and Physical, summarized in Table 1, is a highly structured, comprehensive data gathering exercise which combines open-ended interviewing techniques, letting the patient `tell the story' of his or her illness, with focused, orderly questioning about virtually every aspect of that patient's life which might have bearing on their health. A key feature of this procedure is that, with the exception of gender-specific questions such as an obstetric history in a man, every patient is asked every question, to ensure that the database is complete. Until it is committed to memory, many students work from a detailed list of questions, often many pages in length, based on recommended examples found in widely used textbooks (Walker & Hurst, 1976, Degowin & Degowin, 1976). This exhaustive initial data gathering activity is only the first step in the process. Once all the data have been collected and recorded, the student must organize and categorize the information into his or her Impression, a complete tabulation of the patient's health problems and possible explanations for them (Differential Diagnosis).

Date

22. 3.2002 9:42:19